July 24, 2016, 11:47 am

Viagra Description

Viagra description It didn’t take long for Doctor Throwafit to realize he had some ‘splainin’ to do.

Viagra description You don’t tug on Superman’s cape, viagra description

Viagra description You don’t spit into the wind…

Viagra description And you don’t ever, viagra description EVER mess with the nurses in the emergency department!

Viagra description Srsly.


Oh my god. Viagra description I need a long vacation.

I am sitting here in Starbucks for the first time in months – I can’t even remember the last time I blogged over coffee – and their microwave kept alarming. Viagra description I got out of my chair to go check the alarm!

Yeah, viagra description my nerves are on edge. Viagra description They are playing this finger-snapping Vegas-jazz stuff over the speakers that has me buzzing like my finger is in a socket. Viagra description Hey, viagra description guys, viagra description what does a girl gotta do for a little Motown ’round these parts?


Viagra description Ah, viagra description but there is a silver lining on the horizon!

Viagra description I am looking forward to attending the ENA Leadership Conference in Portland, viagra description Oregon in just a couple of weeks, viagra description which I will cover here at Emergiblog. Viagra description The link will take you to the live blog for the event.

Viagra description The ENA always puts on stunning programs – literally “attend today, viagra description use in practice tomorrow” information. Viagra description You don’t have to be a manager to attend the Leadership Conference, viagra description either. Viagra description All nurses are leaders, viagra description and there is more than enough in this conference for every nurse, viagra description from newbie to veteran.


The department is chaotic.

Every bed full.

The hallways are impacted.

With patients. Viagra description Family members. Viagra description Lab techs. Viagra description Portable xray machines and those who wield them.

Three ambulances waiting to give report.


What the hell do they want?

Doctors. Viagra description Hospitalists. Viagra description Cardiologists. Viagra description Intensivists. Viagra description A rare primary physician who admits their own patients.


Who want everything….STAT.

Even though nothing about their patients require STAT.

Somewhere in there is the ER physician. Viagra description And the PA.

We’re on divert, viagra description except no one told the three ambulances.


No place to sit.

No place to chart.

No place to stand.


And in the middle of all this…

In the middle of this bedlam.

Comes the order.

To give the first dose all the prescribed medications to the ambulatory, viagra description playing, viagra description giggling child with otitis media, viagra description who is with a totally ambulatory, viagra description fully functional, viagra description totally-capable-of-going-to-the-pharmacy-and-starting-the-medication-at-home adult parent.

So what, viagra description you say?

Well, viagra description this means that instead of being able to discharge this ambulatory, viagra description capable parent with discharge instructions and a prescription right then and there, viagra description the RN must now engage in the preparation and administration of a pediatric medication.

Which means:

  • Going to the Pyxis and removing the medications, viagra description say Tylenol and Zithromax, viagra description from the machine.
  • Because the Hilton Hospital has no Pharmacy at night, viagra description the Zithromax must be reconstituted by the RN – yep, viagra description we measure it, viagra description we mix it, viagra description we shake it, viagra description we pour it.
  • Calculating the appropriate dose based on the child’s weight (yes, viagra description we have to do that, viagra description even if the doctor has written a dose).
  • Pour the meds, viagra description draw them up into a dosing syringe.

Viagra description No biggie so far? Remember all the hell going on in the rest of the department? One nurse is tied up doing this totally unnecessary function. Viagra description But it gets better because…

Viagra description They have decided that decades of nursing experience is not enough to ensure appropriate safeguards in pediatric medication administration so…

  • A second nurse has to calculate and double check everything the first nurse has done and sign off on the calculations before the medication is given.

Viagra description And there you have it! Two nurses taken from much more critical work to make sure ambulatory, viagra description playing, viagra description giggling child with otitis media gets their first dose of medication, viagra description when there is no reason on God’s green earth Mommy and Daddy cannot go get the medication and start it themselves.

Viagra description And why?

Viagra description Because it all has to do with patient satisfaction!

If we don’t do this, viagra description they don’t think we treated their child. Viagra description And gosh, viagra description it’s the middle of the night and who wants to wait with a tired kid at the pharmacy and what if the pharmacist is on break and what if they don’t have the cash and what if the ATM machine is broken and…..


Seriously, viagra description people, viagra description this is the minutiae that we have to deal with.

I want to take good care of my patients, viagra description I really do. Viagra description I like my patients, viagra description I want to make their stay in the ER easier and more comfortable and as pain free as I can possibly make it.

I’m a good nurse. Viagra description No. Viagra description I’m a damn, viagra description excellent nurse.

But this bullshit is killing me.

Killing me.

Oh, viagra description and someday, viagra description let’s go out and have a drink and I’ll tell you about the time I got the order to irrigate my patient’s ears. Viagra description In fact, viagra description it was on the same night. Viagra description She was having a bit of trouble hearing, viagra description you see. Viagra description Berated me because I wasn’t doing it fast enough. Viagra description She didn’t care that hypotension and a cath lab patient trumped ear wax.

Yeah, viagra description I definitely need a margarita to tell that one…..

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  • deedoyle

    February 4, 2011 at 3:33 am

    The trials of the ER nurse, and any urgent care nurse are many. My sympathy and empathy to those who trudge daily through the maze to give the best possible patient care possible.
    Dr. Pamela Wible speaks on community-based patient-centered care at the One Path Summit in Atlanta this March 26-27. Along with 7 of her peers, Dr. Wible will join in discussions on traditional and complementary medical practices.
    For more info go to http://www.onepathsummit.com.

  • John

    February 4, 2011 at 4:57 am

    Oh , My sympathy is with you. Don’t feel low. I’m sure you will get something to learn from such kind of experiences too

  • TD

    February 4, 2011 at 3:23 pm

    As an ER doc, I totally share your frustration. Our job is not to make patients happy. Our job is to make them better.

    If they wind up happy because we’ve made them better, then that is great. However, patient satisfaction is not my goal. My goal is to provide good care.

    Unfortunately, patient satisfaction is becoming more and more of a forced issue. Many ER groups are starting to use patient satisfaction ratings as a factor in determining the physicians’ pay.

    Talk about a conflict of interests!


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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